Report on Conditions in Psychiatric Establishments in Georgia Psychiatric Department of Referral Hospital. Video control cameras are installed in the halls, wards and observation room, where a patient spends some time upon admission to the hospital. According to patients, they were not informed about cameras installed in their wards. There is no special written or oral notice informing patients on the video control in the establishment. Video control cameras are also installed in the halls of Qutiri facility, however, not in the wards. Window gratings are not installed in the newly opened establishments; patients usually cannot open the windows in such facilities as handles are removed and kept by the staff (Referral Hospital) or window can be slightly opened (Gudushauri, Referral Hospital). There is no central ventilation system in these establishments. Hospital N5. Windows cannot be opened at all (they are nailed) and windows in the hall are being opened from time to time, so there is rather bad air and unpleasant smell in the building. As one patient stated: “if we behave well we are allowed to come close to window”; “that is why I say that when I leave this place I shall at least be able to breathe fresh air”. In the newly opened establishments the wards windows are not curtained, thus causing discomfort to patients. Patient of N5 Hospital stated: “when I felt ill, injection was made in my ward. Everybody gathered near the door glass. I protested though was disregarded and mocked. “ A patient of the Referral Hospital noted: “They do not open windows at all, only whe guests come”. Other patients confirmed this statement. In certain establishments the door handle is also removed and so the door can be closed only from outside. However during the interviews, both staff members and patients confirmed that doors were never locked save the exceptional cases when isolation of patient was necessary (Rustavi, Referral Hospital, Gudushauri, Hospital N5, Asatiani). In the old part of women unit of Tbilisi Mental Health Centre window gratings are installed inside the window; therefore patients cannot open windows independently. The doors of toilets and showers of the newly opened establishments cannot be locked from inside which creates rather uncomfortable conditions for patients, especially taking into consideration the fact that these establishments are for both - man and women patients. The directors of establishments justify these limitations by the lack of staff. They claim that if the patients are allowed to lock and open windows and doors without close supervision of staff the probability of accidents will increase twofold. During the monitoring there was urine smell in the halls and wards and bed were not tide in Referral Hospital. The Staff stated that they lack hygiene means as the latter is provided by the central administration of Referral Hospital in small and insufficient amounts. Nutrition The CPT standards provide that “Patients’ nutrition is another aspect of their living conditions which is of particular concern to the CPT. Nutrition must be adequate not only from the standpoints of quantity and quality, but also must be provided to patients under satisfactory conditions. The necessary equipment where food can be stored in adequate conditions should exist. Further, organization of meals should be decent; in this regard it should NPM Report 2012 As for the old establishments, as a rule, the living conditions are bad, utility rooms and showers are not refurbished, the sanitary standards are not observed, patients are placed in large wards where they do not have personal space. Lighting and heating systems are not operating. (Surami, Bediani, Qutiri, Khelvachauri)